Cigarette smoking, e-cigarette use, and sociodemographic correlates of mental health and tobacco-related disease risk in the All of Us research program.
IF 4.7 2区 医学Q1 COMPUTER SCIENCE, INFORMATION SYSTEMS
Thomas R Kirchner, Danning Tian, Jian Li, Pranjal Srivastava, Yihao Zheng
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引用次数: 0
Abstract
Significance: Research on the conditions under which electronic cigarette (EC) use produces a net reduction in the population harm attributable to combusted cigarette (CC) use requires the triangulation of information from cohort(s) of smokers, non-smokers, EC users, and dual-users of all varieties.
Materials and methods: This project utilizes data from the All of Us Research Program to contrast a panel of wellness and disease-risk indicators across a range of self-reported tobacco-use profiles, including smokers, current, and former EC users. This article focuses on the tobacco use history and current tobacco use status among All of Us participants enrolled between May 2017 and February 2023 (Registered Controlled Tier Curated Data Repository [CDR] v7).
Results: The present analytic sample included an unweighted total of N = 412 211 individuals with information on ever-use of both CC and EC. Among them, 155 901 individuals have a history of CC use, with 65 206 identified as current smokers. EC usage is reported by 64 002 individuals, with 16 619 being current users. Model predicted analyses identified distinct patterns in CC and EC usage across demographic and socioeconomic variables, with younger ages favoring ECs.
Discussion: Age was observed to significantly affect EC usage, and gender differences reveal that males were significantly more likely to use CC and/or EC than females or African Americans of any gender. Higher educational achievement and income were associated with lower use of both CC and EC, while lower levels of mental health were observed to increase the likelihood of using CC and EC products.
Conclusion: Findings suggest the potential for the All of Us Research Program for investigation of causal factors driving both behavioral use transitions and cessation outcomes.
意义重大:研究电子香烟(EC)的使用在何种条件下能净减少因使用燃烧香烟(CC)而对人群造成的伤害,需要对吸烟者、非吸烟者、EC使用者和各种双重使用者的群体信息进行三角测量:本项目利用 "我们所有人研究计划"(All of Us Research Program)的数据,对一系列自我报告的烟草使用情况中的健康和疾病风险指标进行对比,包括吸烟者、目前和以前的EC使用者。本文重点研究了2017年5月至2023年2月期间注册的 "我们所有人 "参与者的烟草使用史和当前烟草使用状况(注册控制层策划数据存储库[CDR] v7):本分析样本包括N = 412 211名曾经使用过CC和EC的非加权个体。其中,155 901 人有使用 CC 的历史,65 206 人被确认为当前吸烟者。64002人报告使用过EC,其中16619人为当前使用者。通过模型预测分析发现,在不同的人口和社会经济变量中,CC和EC的使用模式各不相同,年龄越小越倾向于使用EC:讨论:据观察,年龄对使用EC有明显影响,性别差异显示,男性使用CC和/或EC的可能性明显高于女性或任何性别的非裔美国人。较高的教育成就和收入与较少使用CC和EC有关,而较低的心理健康水平则增加了使用CC和EC产品的可能性:研究结果表明,"我们所有人 "研究计划有潜力调查驱动行为使用转变和戒烟结果的因果因素。
期刊介绍:
JAMIA is AMIA''s premier peer-reviewed journal for biomedical and health informatics. Covering the full spectrum of activities in the field, JAMIA includes informatics articles in the areas of clinical care, clinical research, translational science, implementation science, imaging, education, consumer health, public health, and policy. JAMIA''s articles describe innovative informatics research and systems that help to advance biomedical science and to promote health. Case reports, perspectives and reviews also help readers stay connected with the most important informatics developments in implementation, policy and education.